CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.Why is HDL considered the “good” cholesterol?2.CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.Explain the role inflammation has in the development of atherosclerosis.QUESTION 3A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.Question:What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub.QUESTION 4A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and attributed it to the flu. Physical exam revealed thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD).Question:Explain how a positive strep test has caused the patient’s symptoms.QUESTION 5The APRN sees a 74-year-old obese female patient who is 2 days post-op after undergoing left total hip replacement. The patient has had severe post op nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).Question:Describe the factors that could have contributed to the development of a DVT in this patient explain how each of the factors could cause DVT.QUESTION 6A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. The APRN suspects the patient experienced a massive pulmonary embolus.Question:Explain why a large pulmonary embolus interferes with oxygenation.QUESTION 7A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS) to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular strain.Question:Explain why a large pulmonary embolism causes right ventricular strain.QUESTION 8A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.Question 1 of 2:Explain early asthmatic responses and the cells responsible for the responses.QUESTION 9A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.Question 2 of 2:Explain late asthmatic responses and the cells responsible for the responses.QUESTION 10A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema and how it relates to COPD.QUESTION 11A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 2 of 2:Explain the pathophysiology of chronic bronchitis and how it relates to COPD.QUESTION 12Mr. Jones is a 78-year-old gentleman who presents to the clinic with a chief complaint of fever, chills and cough. He also reports some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol rescue inhaler.Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with community acquired pneumonia (CAP).Question:Patient was hypoxic as evidenced by the low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia.QUESTION 13A 64-year-old woman with moderately severe COPD comes to the pulmonary clinic for her quarterly checkup. The APRN reviewing the chart notes that the patient has lost 5% of her body weight since her last visit. The APRN questions the patient and patient admits to not having much of an appetite and she also admits to missing some meals because it “takes too much work” to cook and consume dinner.Question:The APRN recognizes that COPD has a deleterious effect on patients. Explain why patients with COPD are at risk for malnutrition.

Week 6 Risk Management in Healthcare APA Style Question Part 1 Discussion Prompt 1-3 Paragraphs  Discussion Prompt Select one of the following high-risk areas and discuss the opportunities for the risk management team to help improve the area. Emergency department Obstetrics neonatology Surgery and anesthesia Diagnostic imaging Support your ideas with at least one scholarly source (you may use your text), and use terminology you learned this week. Cite and reference your sources using APA Style. Part 2 (Please Separate this part to a different Word Document) Week 6 Assignment: Infection Control Pamphlet Objective: Explain infection control programs for healthcare facilities. Instructions Create a pamphlet on the topic of infection control programs for a healthcare facility. Select one of the following areas for your pamphlet: BSI CLABSI UTI VAP SSI MDROs Your pamphlet will be used as an educational tool for new employees and will be distributed at upcoming training sessions. The information should be accurate enough for the members at the next safety meeting to utilize in the future. Use APA Style to cite and reference at least two sources in your pamphlet. Submit your pamphlet in Word or as a PDF. See the rubric for specific grading criteria. Points: 100 Due Sunday, 11: 59 p.m. (Pacific time) How to Make a Pamphlet Decide on a size, shape, and layout. Choose a font, theme, and color scheme. Include images and designs. Add engaging text. You may create your pamphlet in any of these programs and submit it to Blackboard in Word or as a PDF. (Some may require that you download free trials.) Canva Lucid Press Adobe Spark Venngage PowerPoint or Word

This assignment continues work on execution, monitoring and controlling the project. There will be times as you are monitoring your project when corrective actions will have to be made.The following three project examples are scenarios of possible situations that can occur while working on a project; they are independent of each other. Given the following information, what are the corrective actions you would make?You are the project manager for a software upgrade that is trending 30% over its estimated budget. The project is three months from going to production. The project sponsor is worried about the budget as the company has no more money available.You have heard from multiple members on your project team that there has been many surprises and no one really knows the status of the project. You have also heard some members do not know what is expected of them.During a project status meeting early on you start to see two different visions as what the project should accomplish. Given the planning that has already taken place what do you do from here?Prepare a 1-2 page paper summarizing the corrective actions you would make and how you would control them moving forward on the project.